I Am Afraid of General Anesthesia, Would Smart Lipo Work for Me or Do I Need Regular Lipo? (photo)

I am 33 years old, I got 3 kids, youngest is 2 years old, 6 yers ago I got breast implants and I hd no problem with the general anhestesia, but now that I have 3 kids I feel bad if sometingh happen to me who would take care of them. I want to have a nice body like before, So wich one would be the safest and would help me flatten my belly and hips. thanks PS when do I need to do it t be ready for this summer

Doctor Answers 9

Would SmartLipo work for me?

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You are a very good candidate for SmartLipo. SmartLipo is very effective for removing excess fatty deposits and contracting the skin at the same time. I perform SmartLipo in my El Paso, Texas, practice under local anesthesia, with mild sedation, or with general anesthesia.


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Liposuction is a great way to get rid of some areas of fatty deposits with good skin quality. You should not be afraid of anesthesia, because it is very safe and make the experience more comortable for patients.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Type of Anesthesia

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You look like you could be a good candidate for liposuction or Smartlipo.  Both can be performed under twilight anesthesia or light sedation.


Good Luck.

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It should be a breeze as long as your surgeon's nurse knows what she is doing!

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We do all of our liposuctions (tumescent and SmartLipo) under local anesthesia and it works great!  While we offer light sedation (versed), I can't even recall the last time we needed to use it as our patients don't have any issues and feel it is painless. 

That is the benefit of going this way, but remember that not all offices have the same level of expertise and you want to go somewhere that you trust and where the nurse is well trained as they will likely be the one administering the anesthetic for it.  Good luck on your procedure!

Joel Schlessinger, MD
Omaha Dermatologic Surgeon
4.9 out of 5 stars 50 reviews

Anesthesia and liposuction

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You could have any type of liposuction using local anesthesia with or without sedation. Laser lipo does require less anesthesia fluid than some other types.

John P. Stratis, MD
Harrisburg Plastic Surgeon
4.5 out of 5 stars 37 reviews


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One of the best parts about smart lipo is tha it is done with light sedation and local anesthesia. Although a long procedure patients do well and the results, in my opinion, are superior to traditional lipo. I suggest you proceed soon if you want to be ready for summer.

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

Of anesthesia for liposuction

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I myself am partial to Smartlipo But either form will work for you. When do you do Under local or with Twilight sedation is really up to you and your surgeon. local is not for everyone specially the upper abdomen area which is extra sensitive. we do either but for the great majority of patients I prefer sedation. it is extremely safe and so much easier for people to go through especially when you get into larger areas. good luck with either decision.

Sherwood Baxt, MD
Paramus Plastic Surgeon

Liposuction doesn't require general anesthesia. It's just an option.

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Liposuction can be done either awake or asleep. Awake liposuction (aka tumescent liposuction) has been around for almost 30 years. Smart lipo is a type of tumescent liposuction, but it is not the only type. In fact, the quick recovery, minimal bruising and minimal discomfort often marketed as benefits of smart lipo are due to the tumescent anesthesia and not to the effects of the laser.

Evidence for safety of local anesthesia liposuction

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In Florida all adverse events from office surgery must be reported. An article just published in the February 2012 issue of Dermatologic Surgery journal summarized the evidence of the past 10 years of reporting. Liposuction with general anesthesia accounted for 10 deaths, yet no deaths occurred with liposuction with only local anesthesia. You can decide if being under general anesthesia or local anesthesia makes the most sense for you.

You also asked about SmartLipo. SmartLipo is a type of laser. I prefer SlimLipo, but whatever laser is used, it's important to remember that the laser is used with liposuction, not in place of liposuction. Liposuction still is necessary to suction out the fat, whether it has been heated with a laser or not. Excellent results can be achieved, with or without a laser, by an experienced liposuction surgeon. 

Kimberly Finder, MD
San Antonio Dermatologic Surgeon
4.6 out of 5 stars 64 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.